Potential and limits of health management reform in Chile

Includes bibliography

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Autor principal: Sojo, Ana
Formato: Texto
Lenguaje:English
Publicado: 2014
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Acceso en línea:http://hdl.handle.net/11362/10574
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spelling oai-11362-105742020-03-03T20:03:42Z Potential and limits of health management reform in Chile Sojo, Ana ATENCION MEDICA CAMBIO SOCIAL ECONOMIA DE LA SALUD POLITICA SANITARIA SALUD PUBLICA SERVICIOS DE SALUD HEALTH ECONOMICS HEALTH POLICY HEALTH SERVICES MEDICAL TREATMENT PUBLIC HEALTH SOCIAL CHANGE Includes bibliography Against a background of increased expenditure and improved equity, this reform of public health management in Chile, set in the context of a dual health system, aims to consolidate a cost advantage over the private sector. Emphasis has been placed on the distinction between the regulatory, financial and supply functions in the public sector, and a relative opposition of interests between them has been encouraged, with a view to generating quasi-markets. The "management commitments" entered into between the Ministry of Health and the Health Services mark a departure from the strategy of resource allocation guided by historical budgets and make results the decisive factor of funding. These commitments establish each year the types of service that are to be provided, the allocation and transfer of resources, and the performance indicators, in an overall perspective that includes the areas of programme content, financing, human resources and investment, and they govern the many dealings between the Ministry and the Health Services. The other focus of the reform is the improvement of labour productivity, to which end attempts are being made to change the existing conditions of recruitment and pay. The duality of the health model significantly limits the financial control of aspects that are endogenous to it, such as absenteeism and medical hours not worked. The changes also clash with current budgetary frameworks, which inhibit decentralized resource management. Performance measurement has emphasized micro-economic efficiency more than effectiveness: in order to evaluate quality, the ultimate aim of management reform, there is a need to set standards of performance which will make it possible to measure the quality of the service provided. 2014-01-02T18:41:41Z 2014-01-02T18:41:41Z 1996-08 Texto Sección o Parte de un Documento http://hdl.handle.net/11362/10574 LC/G.1931-P en CEPAL Review CEPAL Review 59 application/pdf CHILE CHILE
institution Cepal
collection Cepal
language English
topic ATENCION MEDICA
CAMBIO SOCIAL
ECONOMIA DE LA SALUD
POLITICA SANITARIA
SALUD PUBLICA
SERVICIOS DE SALUD
HEALTH ECONOMICS
HEALTH POLICY
HEALTH SERVICES
MEDICAL TREATMENT
PUBLIC HEALTH
SOCIAL CHANGE
spellingShingle ATENCION MEDICA
CAMBIO SOCIAL
ECONOMIA DE LA SALUD
POLITICA SANITARIA
SALUD PUBLICA
SERVICIOS DE SALUD
HEALTH ECONOMICS
HEALTH POLICY
HEALTH SERVICES
MEDICAL TREATMENT
PUBLIC HEALTH
SOCIAL CHANGE
Sojo, Ana
Potential and limits of health management reform in Chile
description Includes bibliography
format Texto
author Sojo, Ana
author_facet Sojo, Ana
author_sort Sojo, Ana
title Potential and limits of health management reform in Chile
title_short Potential and limits of health management reform in Chile
title_full Potential and limits of health management reform in Chile
title_fullStr Potential and limits of health management reform in Chile
title_full_unstemmed Potential and limits of health management reform in Chile
title_sort potential and limits of health management reform in chile
publishDate 2014
url http://hdl.handle.net/11362/10574
work_keys_str_mv AT sojoana potentialandlimitsofhealthmanagementreforminchile
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